Individual provider · Type 1 NPI

Jensa Rae Davidson, LAC

Addiction (Substance Use Disorder) Counselor · Great Falls, MT

NPI number 1407783129 Active

Practice location

601 1st Ave N
Great Falls, MT 59401-2510

Mailing address

1801 13th Ave S
Great Falls, MT 59405-4808

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-LAC-LIC-78709 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407783129

Jensa Rae Davidson, LAC's National Provider Identifier is 1407783129, issued on May 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Great Falls, MT. The record was last updated on May 6, 2026.